Dental
Mint Dental LLC
Mint Dental LLC was paid $191K by Medicaid between Apr 2019 and Nov 2024, across 15 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 29% of everything it billed.
33Billing provider infoMINT DENTAL LLC
BOZEMAN, MT 59715
BOZEMAN, MT 59715
33aNPI1912472390assigned 10/11/2018
33bProvider typeGeneral Practice Dentistry
28Total paid$191K
24GClaims7,034
24DCodes billed15
24AFirst – last monthApr 2019 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in Montana
Rank by total paid#32 of 149
Median peer was paid$40K
This provider vs. median4.8×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 1,986 | $61K | |
| 2020 | 1,384 | $39K | |
| 2021 | 1,240 | $31K | |
| 2022 | 1,066 | $25K | |
| 2023 | 884 | $21K | |
| 2024incomplete | 474 | $14K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 29% | 2,315 | 2,203 | $55K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 27% | 1,863 | 1,774 | $52K |
| D1110 | Prophylaxis - adult | 12% | 404 | 392 | $22K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.8% | 129 | 66 | $17K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.2% | 352 | 346 | $16K |
| D1351 | Sealant - per tooth | 4.7% | 279 | 90 | $9K |
| D0603 | 4.5% | 1,325 | 1,298 | $9K | |
| D0274 | Bitewings - four radiographic images | 4.2% | 229 | 221 | $8K |
| D0272 | Bitewings - two radiographic images | <1% | 37 | 37 | $1K |
| D0330 | Panoramic radiographic image | <1% | 15 | 14 | $809.04 |
| D1310 | <1% | 12 | 12 | $539.27 | |
| D0140 | Limited oral evaluation - problem focused | <1% | 15 | 13 | $415.79 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialWUBBEN, ANGELA (OFFICE MANAGER)